EP0119300A1

EP0119300A1 - Dental aiming device

Info

Publication number: EP0119300A1
Application number: EP83111035A
Authority: EP
Inventors: Robert Maldonado; Clark E. Loughry
Original assignee: Pennwalt Corp
Current assignee: Pennwalt Corp
Priority date: 1983-03-16
Filing date: 1983-11-04
Publication date: 1984-09-26
Also published as: US4554676A; JPS59197240A

Abstract

DDental aiming device permits periapical and bitewing exposures of the entire dentition without subjecting the patient to unnecessary X-Ray radiation.

Description

Statement of the Invention

This invention relates to a dental aiming device for use with long beam paralleling techniques. The device substantially eliminates unnecessary x-ray exposure to the patient and is readily accommodative of periapical and bitewing exposures of the entire dentition.

Background and Summary of the Invention

Intraoral dental radiography employs two widely used techniques, i.e., the bisecting angle technique and the paralleling technique. One of the advantages of the former resides in the use of a shorter focal distance which permits reduced exposure times to patients thereby lessening potential harm thereto. This advantage however is offset by greater image distortions.
Use of the present device eliminates practically all unnecessary x-ray exposure to the patient while yet providing the quality of images expected from practicing paralleling techniques.
The present invention employs an aligning member having film holding means at one end, an aligning arm at its other end, and a biteplate intermediate thereof. The aligning arm is frictionally received within one of 3 linearly disposed rectangular bores provided in a mount extending from a peripheral portion of an alignment ring.
Rotatably adjustably mounted to the alignment ring is an aperture holder which carries an x-ray opaque plate or shield and a support or cover plate, the x-ray opaque plate being sandwiched thereinbetween. The aperture holder, x-ray opaque plate, and cover plate are each provided with identical centrally disposed rectangular apertures maintained in alignment, which apertures may be disposed vertically or horizontally by merely rotating the aperture holder in the alignment ring.
The film holding means slidably adjustably receives a film holder which resiliently adjustably grasps the x-ray film. By a simple re-arrangement of the various components, bitewing and periapical exposures of any region of the human dentition may readily be accommodated. The large diameter of the alignment ring is compatible with standard cones and is more easily and accurately aligned than aiming devices employing target points.

Brief Description of the Drawings

FIG. 1 is an exploded perspective view of an embodiment of the aiming device of the present invention.
FIG. 2 is a front .elevational view of the alignment ring shown in FIG. 1.
FIG. 3 is an end view of the alignment ring of FIG. 2 looking in the direction of arrows 3-3.
FIG. 4 is a front elevational view of the aperture holder shown in FIG. 1.
FIG. 5 is a sectional view of the aperture holder of FIG. 4 taken along line 5-5 thereof.
FIG. 6 is an elevational view of the film holder illustrated in FIG. 1.
FIGS. 7-10 are diagrammatic illustrations (looking in the direction of the patient from the x-ray source) showing relative positioning of several components of the present aiming device, without film, when obtaining various periapical exposures.
FIGS. 11 and 12 are diagrammatic illustrations similar to FIGS. 7-10 relating to bitewing images.

Detailed Description of the Invention

In FIG. 1, aiming device 10 comprises an aligning member 12 which includes biteplate 14, film holding means 16, and aligning arm 18, substantially rectangular in cross-section. Film holder 20 is slidably adjustable in film holding means 16. Film holder 20 is provided with 4 indentations, A, B, C and D, vertically aligned, which are capable of registering with a corresponding projection P on film holding means 16.
An alignment ring 22 (FIGS. 2 and 3) is frictionally slidably adjustable along aligning arm 18 when arm 18 is received in any one of 3 rectangular bores X, Y or Z, linearly disposed, provided in an extension or mount 24 integrally molded along a peripheral portion of the alignment ring7₇ The rectangular configuration of arm 18 and bores X, Y and Z prevents rotational displacement between the aligning member 12 and alignment ring 22. The alignment ring 22 frictionally receives an aperture holder 28 by means of an annular lip 30, (FIGS. 4 and 5) provided therearound which permits aperture holder 28 to frictionally rotate within alignment ring 22. A thin x-ray opaque apertured plate 34, suitably lead and about 0.020" to 0.030" thick, is preferably secured within aperture holder 28 by means of projection M thereon engaging notch N provided in lead plate 34. Finally, an aperture support or cover plate 36 is adhered to lead plate 34, or plate 36 is provided with a similar notch N' for engaging projection M of aperture holder 28 to thereby sandwich and support lead plate 34 to the aperture holder.
Aperture holder 28, lead. plate 34, and aperture cover 36 have identical apertures 40, 42 and 44 provided centrally respectively therein, preferably rectangular in configuration and in alignment. To facilitate vertical and horizontal disposition of the apertures to thereby permit more reliable and reproducible bitewing and periapical images, notches, markings, engravings or raised projections M' may additionally optionally be provided on alignment ring 22 and aperture holder 28. Of course, horizontal and vertical disposition of the apertures may be achieved by visual inspection.
Film 46 is maintained in fixed position within film holder 20 by means of resilient flap 48 (FIG. 6). Film holder 20 is configured as shown in FIG. 1 to enable it to frictionally slide completely through the film holding means 16 in either vertical position. Of course, mating of one of the indentations A, B, C or D in film holder 20 with the projection P on film holding means 16 will prevent slippage therebetween when disposed in the mouth of the patient.
The entire aiming device 10 may be molded or otherwise made from a suitable plastic material with the exception of x-ray opaque apertured plate 34.
The present aiming device accepts periapical and ; bitewing dental x-ray film of standard size. If a periapical image of the upper left molars is desired, for example (FIG. 7), film 46 will be inserted into film holder 16. Resilient flap 48 maintains the film in fixed position. Arm 18 of the aiming arm 12 is inserted into bore Z of extention 24 of alignment ring 22, and indentation A of film holder 20 caused to register with projection P of film holding means 16. The film and film holder portion are then carefully positioned in the patient's mouth, which position is substantially maintained when the teeth of the patient is closed firmly on biteplate 14. The alignment ring 22 may be adjusted along arm 18 in accordance with the size of the nose of the patient prior to positioning the x-ray cone adjacent to and concentric with the alignment ring 22 and parallel to aligning arm 18.
Rotation of the aiming device 180° will permit the right mandibular region to be periapically exposed (FIG. 8).
Similarly, FIGS. 9 and 10 illustrate relative positioning of components when periapical images are desired 'of the upper right and lower left regions respectively of the dentition.
Since film holder 20 is "hinged" (FIG. 6) to thereby limit the extent of insertion of film 46 thereinto, indentation A, in lieu of indentation D, may be caused to engage projection P to optimize various periapical exposures with various film sizes.
Vertical bitewing exposures may conveniently be taken when off-center identation C engages projection P (FIG. 11) and arm 18 is received within central bore Y.
Central bore Y retains arm 18 therein for horizontal bitewing exposures, but projection P now engages centrally disposed indentation B. Aperture holder 28 will be rotated 90° in adjustment ring 22 with the aid of markings M and M' or by visual inspection.
Summarizing, by a simple re-arrangement, if necessary, of components of the present aiming device, any periapical or bitewing exposure of maxillary or mandibular posterior or anterior teeth is readily accommodated without subjecting the patient to unnecessary x-rays.

Claims

1. A dental aiming device comprising

an alignment member having film holding means at one end and an aligning arm at its other end with a biteplate intermediate thereof,

a film holder slidably adjustable within said film holding means,

an alignment ring adjustably mounted to said aligning arm,

an aperture holder rotatably mounted to said alignment ring,

an x-ray opaque plate mounted to said aperture holder said aperture holder and x-ray opaque plate each having an aligned centrally disposed aperture therein of identical configuration.

2. Device of claim 1 further characterized by
cover means mounted to said aperture holder for supporting said x-ray opaque plate thereto, said cover means having a centrally disposed aperture of identical configuration as said aperture holder and said x-ray opaque plate and aligned therewith.

3. Device of claim 2 wherein said x-ray opaque plate is lead, and said aperture holder and said cover means rigidly sandwich said lead plate therebetween.

4. Device of claim 2 wherein each of said apertures is rectangular in configuration.

5. Device of 2 wherein said alignment ring is provided with a bore mount extending from a peripheral portion thereof, said bore mount having a plurality of bores therethrough linearly aligned.

6. Device of claim 2 wherein each of said apertures is disposed vertically as a unit by rotation of said aperture holder in said alingment ring.

7. Device of claim 2 wherein each of said apertures is disposed horizontally as a unit by rotation of said aperture holder in said alignment ring.

8. Device of claim 2 wherein said film holder is provided with a plurality of vertically disposed indentations and said film holding means is provided with a projection for engagement with any one of said indentations.

9. Device of claim 2 wherein said alignment ring is slidably adjustably mounted to said aligning arm to accommodate patient's noses of varying sizes.

10. Device of claim 2 wherein said film holder resiliently grasps film therein, said film being vertically and horizontally adjustable in said film holder, and said film holder is vertically adjustable in said film holding means.

11. Device of claim 5 wherein each of said bores is rectangular in configuration and said aligning arm mates therewith and is frictionally received in any one of said bores.

12. Device of claim 11 wherein said film holder is provided with a plurality of indentations and said film holding means is provided with a projection for engagement with any one of said indentations.

13. Device of claim 12 wherein said aligning arm is received in a selected one of said bores, and said projection is engaged in a selected one of said indentations to thereby permit periapical exposures and vertical bitewing exposures of any region of a patient's teeth when each of said apertures is in vertical alignment, and horizontal bitewing exposures when each of said apertures is in horizontal alignment.